Hysteroscopy biopsy at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$5,180.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$8,634.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$577.87 with UPMC Work Partners vs $7,943.28 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $577.87 | ↓ -89% |
| UPMC Health Plan | Commercial | $827.24 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $906.33 | ↓ -83% |
| UPMC Health Plan | CHIP | $1,336.10 | ↓ -74% |
| Aetna | CHIP/Medicaid | $1,554.12 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,622.10 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $2,836.99 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,040.13 | ↓ -41% |
| Aetna | Neighborhood Network | $3,108.24 | ↓ -40% |
| UPMC Health Plan | Partners/Select | $3,109.51 | ↓ -40% |
| Aetna of PA | Medicare | $3,182.86 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,273.50 | ↓ -37% |
| AmeriHealth Caritas | Medicare | $3,273.80 | ↓ -37% |
| United Healthcare | Medicare | $3,273.80 | ↓ -37% |
| Aetna | Medicare | $3,334.43 | ↓ -36% |
| Aetna | EBR FI | $3,367.26 | ↓ -35% |
| Aetna | Home Depot Employer Group | $3,384.53 | ↓ -35% |
| Aetna | EBR ASO | $3,453.60 | ↓ -33% |
| Cigna | New Business ASO | $3,453.60 | ↓ -33% |
| Cigna | Commercial | $3,453.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $3,453.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $3,511.48 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,071.41 | ↓ -21% |
| InterGroup | PPO | $4,317.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $4,748.70 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,748.70 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $5,267.25 | ↑ +2% |
| Coventry/First Health | Commercial | $6,043.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $6,907.20 | ↑ +33% |
| Humana | Commercial | $7,338.90 | ↑ +42% |
| Private Health Care Systems | PPO | $7,338.90 | ↑ +42% |
| Multiplan | PPO | $7,943.28 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hysteroscopy biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $639.44 – $3,334.43 |
| UPMC Presbyterian | Pittsburgh | not published | $508.32 – $3,334.43 |
| UPMC Cole | Coudersport | $515.40 | $238.11 – $1,192.92 |
| Uniontown Hospital | Uniontown | $3,720.50 | $205.80 – $6,516.82 |
| UPMC Altoona | Altoona | not published | $577.87 – $3,273.80 |
| UPMC Bedford | Everett | not published | $577.87 – $3,273.80 |
| UPMC Carlisle | Carlisle | not published | $604.75 – $4,866.56 |
| UPMC Community Osteopathic | Harrisburg | not published | $604.75 – $6,850.20 |